Adnexal mass: diagnosis and management
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Data
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Universidade Federal de Minas Gerais
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Artigo de periódico
Título alternativo
Massa anexial: diagnóstico e manejo
Primeiro orientador
Membros da banca
Resumo
Key points: adnexal masses occurred in women of all age groups, and their etiology and frequency vary age accordingly; most of the adnexal masses are benign, without symptoms diagnosed incidentally, and can have expectant management; otherwise, ovarian cancer is an adnexal mass with poor prognosis and must be managed quickly in an appropriate setting; correct differential diagnoses of benign and malignant mass matter; panels of biomarkers is not sufficient for the initial evaluation of an adnexal mass; transvaginal ultrasonography is the single most effective way of evaluating an ovarian mass; ovarian cancer patients referred to a cancer center for further Management experience the best outcomes. Recommendations: transvaginal ultrasonography is the single most effective way of evaluating an ovarian mass; computed tomography (CT), magnetic resonance imaging (MRI), and positron emission tomography (PET) not recommended in
the initial evaluation of adnexal masses; the suspicious ovarian cysts should be initially assessed by measuring serum CA125 level and transvaginal ultrasound scan; spillage of cyst contents should be avoided preoperative and intraoperatively. Assessment cannot preclude
malignancy; frozen sections for the intraoperative diagnosis of a suspicious adnexal mass could be useful when availability and patient preference allow; malignancy histology revealed during or after diagnostic laparoscopy; the comprehensive surgical medical report belongs to the patient, and images should move to a cancer center for further management; consider opportunistic salpingectomy as risk reduced surgery for ovarian cancer during benign operation.
Abstract
Assunto
Doenças dos anexos, Carcinoma epitelial do ovário, Neoplasias uterinas, Diagnóstico clínico, Protocolos antineoplásicos
Palavras-chave
Adnexal mass, Ovarian cancer, Diagnosis
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Curso
Endereço externo
https://www.thieme-connect.de/products/ejournals/abstract/10.1055/s-0040-1715547